Insurance Updates - New York State Chiropractic Association

Upcoming Change: National Government Services to Become Wellpoint Federal

by Insurance Committee | Mar 24, 2026 | Insurance Updates, Medicare/Medicaid, Public

On 4/1/2026 National Government Services will begin operating as Wellpoint Federal. While the name will change, structure, service level and operating model will remain the same, advancing the future of government healthcare as part of Elevance Health. Beginning...

Updated Medicare ABN Form Now Available

by Insurance Committee | Mar 16, 2026 | Insurance Updates, Medicare/Medicaid, Public

The Centers for Medicare & Medicaid Services (CMS) has recently updated the Advance Beneficiary Notice of Non-coverage (ABN), a form providers use to inform patients when Medicare may not cover a service. The new ABN form (CMS-R-131) was approved by the Office of...

Faxed claim-related form submissions (including IME reports) no longer accepted starting April 1, 2026

by New York State Workers' Compensation Board | Mar 12, 2026 | Insurance Updates, Public, Workers' Compensation

In January, the New York State Workers’ Compensation Board (Board) announced that effective April 1, 2026, faxed submissions of claim-related documents will no longer be accepted. This includes independent medical examination (IME) reports. Under New...

Electronic submission offset billing disputes

by New York State Workers' Compensation Board | Feb 26, 2026 | Insurance Updates, Public, Workers' Compensation

As part of the NYS Workers’ Compensation Board (Board) CMS-1500 electronic submission mandate, providers were instructed they may offset the cost of each electronic CMS-1500 bill submission, up to a maximum of one dollar, by using CPT code...

BCBS Provider Settlement Update: Claim Notices Now Being Issued

by Insurance Committee | Feb 19, 2026 | Commercial Insurance, Insurance Updates, Members Only

Healthcare providers who submitted claims as part of the Blue Cross Blue Shield Provider Antitrust Settlement should be aware that the next phase of the process is now underway. The Settlement Claims Administrator has begun issuing claim notices to providers regarding...

New NGS Medicare Resource: Advance Beneficiary Notice Decision Tree

by Insurance Committee | Feb 10, 2026 | Insurance Updates, Medicare/Medicaid, Public

The NYSCA is pleased to share a newly released educational resource from NGS Medicare designed to support providers in navigating Advance Beneficiary Notice requirements with greater clarity and confidence. NGS Medicare has added the Advance Beneficiary...